so we've got these twin crises, and in my book i represent them as a two-headed alligator that we're trying to deal with. and yet we've been unable as a society the deal with them. and the real breakthrough here, and whether or not he likes it the hero of our story is mitt romney, and the real breakthrough came with governor mitt romney in massachusetts in 2006 when he signed into law massachusetts' health care reform which took a new approach that hadn't been tried before, an approach i like to cry incremental universalism. incremental, or from the right, meaning leave people alone if they like what they have, but help people who don't, for whom the system doesn't work. universal, from the left, meaning let's get to universal coverage. this had not been tried before. they was not a rip it up and start over approach. this was a let's recognize politically that we can't take away things people like, but that we can get to where we need to be in terms of universal coverage. he set up a system which i like to think of as a three-legged stool. the first leg was to end discrimination in i